A5082791841- Uterine Myomas and Treatments
- Endometriosis Research and Treatment
- Gynecological conditions and treatments
- Maternal and Perinatal Health Interventions
- Diabetes Management and Education
- Endometrial and Cervical Cancer Treatments
- Food Security and Health in Diverse Populations
- Child and Adolescent Health
- Maternal and fetal healthcare
- Birth, Development, and Health
- Obesity and Health Practices
- Maternal Mental Health During Pregnancy and Postpartum
- Pregnancy-related medical research
- Patient-Provider Communication in Healthcare
- Global Maternal and Child Health
- Reproductive Health and Contraception
- Obesity, Physical Activity, Diet
- Primary Care and Health Outcomes
- Racial and Ethnic Identity Research
- Cancer survivorship and care
- Health and Wellbeing Research
- Pregnancy and preeclampsia studies
- Reproductive Health and Technologies
- Pregnancy and Medication Impact
- Palliative Care and End-of-Life Issues
Henry Ford Health System
2016-2025
Michigan State University
2023-2024
University of Washington
2019-2023
Health Services Research & Development
2020-2023
VA Puget Sound Health Care System
2020-2023
United States Department of Veterans Affairs
2020-2023
Henry Ford Hospital
2016-2020
Hysterectomy is the most common non-obstetrical surgery for women in United States. Few investigations comparing hysterectomy surgical approaches include patient-centered outcomes.The study was performed at Henry Ford Health System Detroit, Michigan between February 2015 and May 2015. The data were collected through structured focus groups with 24 post-hysterectomy order to identify PCOs employ a subsequent cohort of approaches. One pilot group five additional held. Qualitative analysis,...
Background: Minimally invasive hysterectomy for fibroids decreases recovery time and risk of postoperative complications compared with abdominal hysterectomy. Within Veterans Affair (VA), black women uterine are less likely to receive a minimally than white women. Objective: To quantify the contributions patient, facility, temporal geographic factors VA black-white disparity in Research Design: A cross-sectional study. Subjects: performed between October 1, 2012 September 30, 2015. Measures:...
Methods: Women undergoing hysterectomy for a benign indication were recruited in the 2 weeks prior to surgery. reported demographics and completed validated questionnaires (Decisional Regret Scale, Patient Health Questionnaire-9, Decisional Conflict Comprehensive Score Financial Toxicity) up 7 times over first year postsurgery. Medical records reviewed clinical operative details. Latent class growth mixture models applied repeated regret scores identify patterns after hysterectomy. Clinical...
Uterine fibroids are the most common indication for hysterectomy. Minimally invasive hysterectomy (MIH) confers lower risk of complications and shorter recovery than open surgical procedures; however, it is more challenging to perform with larger fibroids. There racialized differences in fibroid size MIH rates. We examined role uterine black-white among Veterans Department Affairs (VA).Using VA clinical administrative data, we conducted a cross-sectional study black white who underwent...
To examine family (patient and parent/guardian) clinician preferences for identification management of obesity obesity-related conditions during the well-child visit.
Introduction: Reproductive policies' impact on disparities in neonatal outcomes is understudied. Thus, we aimed to assess whether an index of reproductive autonomy associated with black-white preterm birth (PTB) and low birthweight (LBW). Methods: We used publicly available state-level PTB LBW data for all live-births among persons aged 15–44 from January 1, 2016, December 31, 2018. The independent measure was state laws characterizing each state's autonomy, ranging 5 (most restrictive) 43...
Purpose: Previous reports indicate many women may not have a firm grasp on likely outcomes of different hysterectomy procedures. This study aimed to assess women's self-reported expectations how they think their anatomy will change after hysterectomy.
The burden of diabetes is higher in urban areas and among racial ethnic minorities. purpose this research was to evaluate the effectiveness extending a intervention program (DIP) by engaging team, including community health worker (CHW), provide care for patients meet glycemic control, specifically predominantly urban, minority patient population. DIP enrolled diabetic from an internal medicine clinic. A CHW facilitated collection glucose meter readings. coached on control while CHW's...
Background: Hysterectomy can be performed with concomitant bilateral salpingo-oophorectomy (BSO) to treat symptomatic pathology of the ovary (e.g., endometriosis) or prevent ovarian cancer. Our objective was examine relationship between race and BSO by menopausal status in Veterans Affairs (VA) health care system. Methods: This is a longitudinal study utilizing VA administrative data identify hysterectomies provided paid for (i.e., source care) 2007 2014. We defined as removal both ovaries...
The American Diabetes Association has recommended that diabetes self-management education and support (DSMES) teams improve outcomes by identifying responding to patients' social needs. This study examines demographic patterns in how hemoglobin A1c (A1c) is related individual needs, reported urgency of those interest obtaining assistance. A total 1125 unique persons who had been referred for DSMES completed a needs screener via our electronic medical record were included. majority (51.9 %)...
Objective: Limited population-based data examines racial disparities among pregnant and postpartum veterans. Our objective was to determine whether Black/white in health care access, use, veteran infant outcomes are present veterans their infants using Veterans Health Administration (VA) care. Methods: The VA National Veteran Pregnancy Maternity Care Survey included all with a paid live birth between June 2018 December 2019. Participants could complete the survey online or by telephone....
Background/Aims: With the United States' prevalence of childhood obesity at approximately 17%, well-child visits are a critical time to discuss well-being, physical activity and other concerns. Discussion healthy weight is key component these pediatric visits. Appropriate delivery weight-related messages adolescents their families critical. Accusatory may distance from health care, whereas nondirect approaches could suggest unhealthy nonproblematic. Feedback on during visit improve care in...
The American Diabetes Association has recommended that diabetes self-management education and support (DSMES) teams improve outcomes by identifying responding to patients’ social needs. This study examines demographic patterns in how hemoglobin A1c (A1C) is related individual needs, reported urgency of those interest obtaining assistance. A total 1125 unique persons who had been referred for DSMES completed a needs screener via our electronic medical record were included. majority (51.9%)...